Incident diabetes, hypertension and dyslipidemia in a Manitoba First Nation
Background: Diabetes and diabetes complications are substantially higher among Canadian First Nations populations compared with the general Canadian population. However, incidence data using detailed individual assessments from a population-based cohort have not been undertaken. Objective: We sought...
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ftdoajarticles:oai:doaj.org/article:08fb55498e384dceb713e7c2a2440897 2023-05-15T15:16:33+02:00 Incident diabetes, hypertension and dyslipidemia in a Manitoba First Nation Natalie D. Riediger Virginia Lukianchuk Sharon G. Bruce 2015-08-01T00:00:00Z https://doi.org/10.3402/ijch.v74.27712 https://doaj.org/article/08fb55498e384dceb713e7c2a2440897 EN eng Taylor & Francis Group http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/27712/pdf_35 https://doaj.org/toc/2242-3982 2242-3982 doi:10.3402/ijch.v74.27712 https://doaj.org/article/08fb55498e384dceb713e7c2a2440897 International Journal of Circumpolar Health, Vol 74, Iss 0, Pp 1-7 (2015) First Nations diabetes incidence community-based participatory research Arctic medicine. Tropical medicine RC955-962 article 2015 ftdoajarticles https://doi.org/10.3402/ijch.v74.27712 2023-01-08T01:29:11Z Background: Diabetes and diabetes complications are substantially higher among Canadian First Nations populations compared with the general Canadian population. However, incidence data using detailed individual assessments from a population-based cohort have not been undertaken. Objective: We sought to describe incident diabetes, hypertension and dyslipidemia in a population-based cohort from a Manitoba Ojibway First Nation community. Design: Study data were from 2 diabetes screening studies in Sandy Bay First Nation in Manitoba, Canada, collected in 2002/2003 and 2011/2012. The cohort comprised of respondents to both screening studies (n=171). Health and demographic data were collected using a questionnaire. Fasting blood samples, blood pressure and anthropometric data were also collected objectively. Incident diabetes, hypertension and dyslipidemia were determined. Generalized linear models with Poisson distribution were used to estimate risk of incident diabetes and cardiometabolic conditions according to age and sex. Results: There were 35 (95% CI: 26, 45) new cases of diabetes among 128 participants without diabetes at baseline (27 or 3.3% per year). While participants who were 50 years and older at baseline had a significantly higher risk of incident diabetes at follow-up compared with participants aged 18–29 at baseline (p=0.012), more than half of the incident cases of diabetes occurred among participants aged less than 40 at baseline. There were 28 (95% CI: 20, 37) new cases of dyslipidemia at follow-up among 112 without dyslipidemia at baseline (25%). There were 36 (95% CI: 31, 42) new cases of hypertension among 104 participants without hypertension at baseline (34.6%). Women had half the risk of developing hypertension compared with men (p=0.039). Conclusions: Diabetes incidence is very high, and the number of new cases among those younger than 40 is a concern. Additional public health and primary care efforts are needed to address the diabetes burden in this First Nation community. Article in Journal/Newspaper Arctic Circumpolar Health First Nations International Journal of Circumpolar Health Directory of Open Access Journals: DOAJ Articles Arctic Canada International Journal of Circumpolar Health 74 1 27712 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
First Nations diabetes incidence community-based participatory research Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
First Nations diabetes incidence community-based participatory research Arctic medicine. Tropical medicine RC955-962 Natalie D. Riediger Virginia Lukianchuk Sharon G. Bruce Incident diabetes, hypertension and dyslipidemia in a Manitoba First Nation |
topic_facet |
First Nations diabetes incidence community-based participatory research Arctic medicine. Tropical medicine RC955-962 |
description |
Background: Diabetes and diabetes complications are substantially higher among Canadian First Nations populations compared with the general Canadian population. However, incidence data using detailed individual assessments from a population-based cohort have not been undertaken. Objective: We sought to describe incident diabetes, hypertension and dyslipidemia in a population-based cohort from a Manitoba Ojibway First Nation community. Design: Study data were from 2 diabetes screening studies in Sandy Bay First Nation in Manitoba, Canada, collected in 2002/2003 and 2011/2012. The cohort comprised of respondents to both screening studies (n=171). Health and demographic data were collected using a questionnaire. Fasting blood samples, blood pressure and anthropometric data were also collected objectively. Incident diabetes, hypertension and dyslipidemia were determined. Generalized linear models with Poisson distribution were used to estimate risk of incident diabetes and cardiometabolic conditions according to age and sex. Results: There were 35 (95% CI: 26, 45) new cases of diabetes among 128 participants without diabetes at baseline (27 or 3.3% per year). While participants who were 50 years and older at baseline had a significantly higher risk of incident diabetes at follow-up compared with participants aged 18–29 at baseline (p=0.012), more than half of the incident cases of diabetes occurred among participants aged less than 40 at baseline. There were 28 (95% CI: 20, 37) new cases of dyslipidemia at follow-up among 112 without dyslipidemia at baseline (25%). There were 36 (95% CI: 31, 42) new cases of hypertension among 104 participants without hypertension at baseline (34.6%). Women had half the risk of developing hypertension compared with men (p=0.039). Conclusions: Diabetes incidence is very high, and the number of new cases among those younger than 40 is a concern. Additional public health and primary care efforts are needed to address the diabetes burden in this First Nation community. |
format |
Article in Journal/Newspaper |
author |
Natalie D. Riediger Virginia Lukianchuk Sharon G. Bruce |
author_facet |
Natalie D. Riediger Virginia Lukianchuk Sharon G. Bruce |
author_sort |
Natalie D. Riediger |
title |
Incident diabetes, hypertension and dyslipidemia in a Manitoba First Nation |
title_short |
Incident diabetes, hypertension and dyslipidemia in a Manitoba First Nation |
title_full |
Incident diabetes, hypertension and dyslipidemia in a Manitoba First Nation |
title_fullStr |
Incident diabetes, hypertension and dyslipidemia in a Manitoba First Nation |
title_full_unstemmed |
Incident diabetes, hypertension and dyslipidemia in a Manitoba First Nation |
title_sort |
incident diabetes, hypertension and dyslipidemia in a manitoba first nation |
publisher |
Taylor & Francis Group |
publishDate |
2015 |
url |
https://doi.org/10.3402/ijch.v74.27712 https://doaj.org/article/08fb55498e384dceb713e7c2a2440897 |
geographic |
Arctic Canada |
geographic_facet |
Arctic Canada |
genre |
Arctic Circumpolar Health First Nations International Journal of Circumpolar Health |
genre_facet |
Arctic Circumpolar Health First Nations International Journal of Circumpolar Health |
op_source |
International Journal of Circumpolar Health, Vol 74, Iss 0, Pp 1-7 (2015) |
op_relation |
http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/27712/pdf_35 https://doaj.org/toc/2242-3982 2242-3982 doi:10.3402/ijch.v74.27712 https://doaj.org/article/08fb55498e384dceb713e7c2a2440897 |
op_doi |
https://doi.org/10.3402/ijch.v74.27712 |
container_title |
International Journal of Circumpolar Health |
container_volume |
74 |
container_issue |
1 |
container_start_page |
27712 |
_version_ |
1766346843152711680 |